Fv at Home by Friendship Village

The home health provider failed to ensure emergency preparedness (EP) training was completed on hire and/or annually in five of five personnel records reviewed (Employees #1, #2, #3, #4, and #5).

The home health provider failed to ensure the OASIS (Outcome and Assessment Information Set) data accurately reflected the patient’s status at the time of assessment in one of five records reviewed (Record/Patient #3).

The home health provider failed to ensure infection control training was completed on hire and annually in two of five employee records reviewed (Employees #2 and #3).

The home health provider failed to ensure the staff documented clearly and completely in two of five full records reviewed (Records/Patients #1, and #4).

The home health provider failed to ensure the comprehensive assessments accurately reflected the patient’s current health, psychosocial, functional, and cognitive status in one of five records reviewed (Record/Patient #3).

The home health provider failed to ensure staff performed a review of all medications the patient was currently taking in three of five full records reviewed (Records/Patients #1, #2, and #3).

The provider failed to ensure the plan of care (POC) included all required treatment orders, and complete/accurate interventions in three of five full records reviewed (Records/Patients #1, #3, and #4).

The home health provider failed to report symptoms to the physician in one of five full records reviewed (Record/Patient #2).

The home health provider failed to ensure complete pain assessments were completed on clinician visits in three of five full records reviewed (Records/Patients #1, #2, and #4).

The agency failed to ensure encoded OASIS (Outcome and Assessment Information Set) data accurately reflected the patient's status in two (Records/Patients #1 and #5) of five applicable records reviewed.

The agency failed to ensure the comprehensive assessment accurately reflected the patient’s status, to include the patient’s medical, nursing, rehabilitative, social, and discharge planning needs in one (Record/Patient #2) of five records reviewed.

The agency failed to ensure a review of all medications the patients were currently using were documented in order to identify any potential adverse effects and drug reactions, including ineffective drug therapy, significant side effects, significant drug interactions, duplicate drug therapy, and…

The agency failed to ensure the plan of care contained, but not limited to, the types of services, supplies, and equipment required; nutritional requirements; all medications and treatments; and patient-specific interventions in three (Records/Patients #2, #3, and #5) of five full records reviewed.

The agency failed to ensure that drugs, services and treatments were administered only as ordered by a physician or allowed practitioner in three (Records/Patients #1, #2, and #4) of five records reviewed.

The agency failed to ensure that the clinicians provided services that are ordered by the physician or allowed practitioner as indicated in the plan of care in one (Record/Patient #1) of three applicable records.

The agency failed to ensure a qualified, pre-designated person is authorized in writing by the administrator and the governing body to assume the responsibilities and obligations of the administrator when the administrator is not available.

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the patient has the right to be advised of the state hotline hours (7:00 AM to midnight).

The agency failed to ensure the patients were provided the names, addresses, and telephone numbers of federal and state-funded entities that serve the area where the patient resides.

The agency failed to ensure the comprehensive assessment accurately reflected the patient's status in, but not limited to, two (Records/Patients #4 and #5) of five records reviewed.

The agency failed to ensure that each patient's written individualized plan of care (POC) included all the required items, in three (Records/Patients #1, #4 and #5) of five full records reviewed.

The agency failed to provide services as ordered by the physician on the plan of care (POC) in, but not limited to, one (Record/Patient #4) of five records reviewed.